Your Life Service League Licensed Clinical Social Worker APC
NPI 1669086013ActiveOrganization· Social Worker, Clinical· Pomona, CA
Social Worker, Clinical in Pomona, California, registered in NPPES in September 2020. The authorized official on file is Landon Derrick Hallbrooks, LCSW, Chief Executive Officer.
Overview
| NPI | 1669086013 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2020 |
| Last updated in NPPES | May 18, 2022 |
| Certified by provider | May 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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